As of 18:00 on 16 April, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 197 clinical cases of Ebola Virus Disease (EVD), including 122 deaths. To date, 101 cases have been laboratory confirmed, including 56 deaths, 43 cases (33 deaths) meet the probable case definition for EVD and 53 cases (33 deaths) are classified as suspected cases. Twenty-four (24) health-care workers (HCW) have been affected with 13 deaths. Clinical cases of EVD have been reported from Conakry (47 cases, including 16 deaths), Guekedou (117/80), Macenta (22/16), Kissidougou (6/5), Dabola (4/4) and Djingaraye (1/1).
Contact tracing activities continue in all affected areas including new contacts generated by a HCW who passed away 3 days ago. In Conakry, 60 community volunteers are assisting the MOH and response partners in following up the 221 contacts currently under medical observation. Seven contacts who developed symptoms have been placed in isolation as a precautionary measure. A total of 249 contacts are being followed in Guekedou, 54 in Macenta 17 in Kissidougou, 63 in Dabola and 2 in Dingaraye.
A total of 36 patients are currently in isolation; 23 in Conakry, 12 in Guéckédou and 1 in Macenta. Clinical teams from WHO, the Global Outbreak Alert and Response Network (GOARN) and Médecins Sans Frontières (MSF) are supporting national medical and nursing staff at the Donka Hospital to strengthen patient triage, case management and infection prevention and control (IPC). Training on the safe handling of patients with EVD and the deceased was conducted jointly by the IPC and Logistics teams at the Donka hospital for staff working at the morgue, and for drivers and staff transporting patients in stretchers. A training of trainers activity for the directors of all 20 Centres de Santé in Conakry is planned for 17 April. IPC training is also scheduled at 2 community health centres tomorrow.
On 15 April, the Ministry of Health and Sanitation (MOHS) provided a consolidated report of surveillance activities conducted in that country from 19 March onwards. A total of 12 suspected cases have been identified during that period. Two previously reported suspected EVD deaths occurred in individuals from one family who died in Guinea and their bodies repatriated to Sierra Leone for burial. All of the 15 case contacts have completed 21 days of medical follow-up and have remained well. The Metabiota laboratory team working at the Kenema Government Hospital Lassa Fever Isolation Unit have received and tested clinical samples from 11 of the suspected cases using 2 different real-time PCR protocols for Ebola Zaire, other viral haemorrhagic fevers and important locally endemic pathogens. All of the samples have tested negative for ebolavirus and the other pathogens included in the test panel.
As of 16 April the Ministry of Health and Social Welfare (MOHSW) of Liberia has reported a cumulative total of 27 clinical cases of EVD, including 13 deaths attributed to EVD. One new suspected case reported yesterday from Nimba County has been laboratory confirmed as a case of Lassa fever. Two patients remain hospitalised and 33 contacts remain under medical observation. The MOHSW commissioned a new ebolavirus laboratory on 16 April in collaboration with Metabiota.(Article above quotes from WHO)